VIII.

DRUG STUDY

Drugs Indication Action Side Effect/ Nursing Patient

Adverse Effect Consideration Teachings
Date Ordered: To prevent Increases CNS: dizziness, *Monitor and *Explain
07/20/09 and treat motor headache, record blood use of drug
postpartum activity of seizures, pressure, pulse to patient
Generic Name: hemorrhage the uterus hallucinations rate, and and family
Methylergonovin caused by by direct CV: uterine *Instruct
e maleate uterine stimulation hypertension, response, patient to
atony or sub of the transient chest report sudden report
Brand Name: involution. smooth pain, change in VS, adverse
Methergine muscle, palpitations, character and reactions
shortening hypotension, amount of promptly.
Classification: the third thrombophlebiti vaginal
oxytocic stage of s bleeding
labor, and EENT: tinnitus, *Store tablets
Dosage: reducing nasal in tightly
500 mcg blood loss. congestion closed, light-
GI: nausea, resistant
vomiting, container.
diarrhea, foul Discard if
taste discolored.
Musculoskeletal *Don’t confuse
: leg cramps Methergine to
Respiratory: terbutaline.
dyspnea
Skin:
diaphoresis
Date Ordered: Infections Bactericida CNS: lethargy, History: *Take this
07/20/09 due to l: Inhibits hallucinations, allergies to drug
susceptible synthesis seizures penicillins, around-the-
Generic Name: strains of of cell wall GI: glossitis, cephalosporins clock
Amoxicillin Haemophilu of sensitive stomatitis, , or other *Take the
trihydrate s influenzae, organisms, gastritis, sore allergens, renal full course
Escherichia causing mouth, furry disorders; of therapy;
Brand Name: coli, cell death. tongue, nausea, lactation. do not stop
Amoxyl Proteus vomiting, Physical: because
mirabilis, diarrhea, culture you feel
Classification: Neisseria abdominal pain, infected area, better
Antibiotic gonorrhoea GU: nephritis skin coloe, *This
e, Hematologic: lesion, antibiotic is
Dosage: Streptococc anemia, adventitious specific for
500 mg us thrombocytopen sounds, bowel this
pneumoniae ia, leukopenia, sounds, CBC, problem
, neutropenia, renal function and should
Enterococc prolonged tests, not to be
us faecalis. bleeding time urinalysis, used to
Helicobacte serum self-treat
r pylori electrolytes other
infection in infections
combination *Report
with other unusual
agents. bleeding, or
Postexposur bruising,
e sore throat,
prophylaxis fever, rash,
against hives,
Bacillus severe
anthracis. diarrhea,
dyspnea.
 Date Ordered: Relief of Anti- CNS: headache, History: *Take drug
07/21/09 moderate inflammato dizziness, allergies, renal, with food;
pain when ry, somnolence, hepatic, GI take only
Generic Name: therapy will analgesic, insomnia, conditions; the
Mefenamic acid not exceed 1 and fatigue pregnancy; prescribed
week. antipyretic Dermatologic: lactation dosage; do
Brand Name: Treatment activities rush, sweating, Physical: skin not take
Ponstel of primary related to dry mucous color and drug longer
dysmenorrh inhibition membrane lesions, than 1
Classification: ea of GI: nausea, orientation, week
NSAID prostagland vomiting, reflexes, *Discontin
in constipation, peripheral ue drug and
Dosage: synthesis, flatulence, GI sensation, consult
500 mg exact pain, dyspepsia adventitious your health
mechanism GU: dysuria sound, liver care
s of action Hematologic: evaluation provider if
are not bleeding, bone rash or
known. marrow diarrhea
depression occur.
Respiratory: *Report
dyspnea, sore throat,
hemoptysis, fever, rash,
rhinitis, itching,
pharyngitis, weight
bronchospasm gain,
swelling in
ankles or
fingers,
changes in
vision,sever
e diarrhea.

IX. LIST OF PRIORITY PROBLEM

1. Anxiety
2. Self-care deficit
3. Impaired walking
4. Fatigue
5. Impaired physical mobility

XI. Ongoing Appraisal

Received patient M.A, 33 years old female accompanied by husband on July 20, 09.
Patient delivered a baby girl. Received methergine IM. She was sent to ward for postpartum care.
Monitored her VS q2, temp: 37.1 RR: 21 PR: 98 BP: 110/80. Received medications: methergine
500 mcg, amoxicillin 500 mg and Mefenamic acid 500 mg.
July 21, 09 patient can already walk. Monitored her VS. VS are stable within normal
range, temp: 36.9 RR: 20 PR: 93 BP: 110/80. Received medications: methergine 500 mcg,
amoxicillin 500 mg and Mefenamic acid 500 mg. IE discharge done by POD.

XII. DISCHARGE PLAN

M – Medication

The doctor’s order of amoxicillin 500 mg OD continues for five more days. Medications
should be taken regularly as prescribed, on exact dosage, time, & frequency, making sure
that the purpose of medications is fully disclosed by the health care provider.
E – Exercise

Do passive ROM at home as tolerated by the client. Do ambulation therapy with

assistance and if can tolerate by the client.

T – Treatment

Continue home medications as prescribed. Follow certain instructions provided by the

doctor.

H – Health Education

Regular breastfeeding to help reduce the weight. Health teachings regarding the
importance of proper hygiene especially in the genital area to prevent infection.

O – OPD follow-up

Post partum follow up and family planning as recommended.

D – Diet

Diet which is prescribed should be followed. Soft diet for first few weeks. Eat healthy
foods with vegetables and fruits that will help patient to go back to her normal weight.

S – Signs and Symptoms

Insomnia, dizziness, nausea and vomiting, bleeding, hemoptysis, lethargy, seizures,

dyspnea.